| NPI | 1396223327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D12003) |
| Additional Taxonomies | 122300000X Dentist (Licence: WA DE60867888) |
| 122300000X Dentist (Licence: OR D12003) | |
| 1223G0001X Dentist, General Practice (Licence: WA DE60867888) | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2024-09-27 |